Psychiatric institutions, their architecture, and the politics of regional autonomy in the Austro-Hungarian monarchy

This paper examines the planning process and architecture of two public psychiatric institutions built around 1900 in Trieste and Lower Austria. From 1864, the building of new asylums was the responsibility of Crown land governments, which by the end of the nineteenth century had emerged as sites of power and self-presentation by minority groups and new political parties. At the same time, the area of asylum planning was establishing itself as a branch of asylum psychiatry and promoting the idea of the asylum as model settlement, contributing to social reform. I analyse the interaction of psychiatrists, architects and government officials involved in planning the two institutions in the context of Crown land governments' self-positioning within the empire and internationally (especially in relation to Italy and Germany). The Trieste asylum planners were working for a government controlled by Italian nationalists, but their desire for a 'modern' asylum turned them towards German models. The Christian Social government in Lower Austria sought to supplant Germany as the leader in this branch of science. The spatial arrangement and visual articulation of the two asylums is interpreted in the context of the interaction of psychiatry and the politics of regional autonomy.     

Institutions,information exchange,and migrant social networks in Rome

While a considerable body of work examines immigrant networks, inadequate attention has been devoted to understanding how networks regulate the relationship between immigrants and host institutions. A rich immigrant process may reinforce current power structures by providing a convenient buffer between the elite and challengers. Conversely, immigration may challenge the status quo. I employ social network analysis to examine three understudied immigrant groups in Rome, Bangladeshis, Filipinos, and Peruvians. I find that they have developed systems of problem-solving and sense-making that often interrupt their interactions with host institutions. The state tolerates this because it situates immigrants’ concerns outside its sphere of responsibility.     

The dialectic between modernization and orientalization: ethnicity and work relations in the 1950s Lakhish region project

This article focuses on agricultural planning and work relations in the Lakhish regional settlement project in 1950s Israel. During this period, Jewish immigrants from Arab countries – considered the other of allegedly Modern and Western Israeli society – were sent to settle the new frontier, in order to establish Jewish sovereignty over former Palestinian land. I discuss the ways in which agricultural planning and the organization of the work process created a relationship of dependency between the settlers and the settling institutions. I show, that the plans were shaped by Orientalist assumptions concerning the nature of the settlers, their social and family relationships and their cognitive abilities. I argue that it was these plans and the work relations they engendered, that doomed the settlers from the start, undermining their ability to form functioning cooperative communities. The settlers, however, were not passive objects of state policies but rather displayed patterns of resistance to state regulation.     

Power, blame, and accountability: Medicaid managed care for mental health services in New Mexico

I examine the provision of mental health services to Medicaid recipients in New Mexico to illustrate how managed care accountability models subvert the allocation of responsibility for delivering, monitoring, and improving care for the poor. The downward transfer of responsibility is a phenomenon emergent in this hierarchically organized system. I offer three examples to clarify the implications of accountability discourse. First, I problematize the public-private "partnership" between the state and its managed care contractors to illuminate the complexities of exacting state oversight in a medically underserved, rural setting. Second, I discuss the strategic deployment of accountability discourse by members of this partnership to limit use of expensive services by Medicaid recipients. Third, I focus on transportation for Medicaid recipients to show how market triumphalism drives patient care decisions. Providers and patients with the least amount of formal authority and power are typically blamed for system deficiencies.     

Disciplining Investment Bankers, Disciplining the Economy: Wall Street's Institutional Culture of Crisis and the Downsizing of "Corporate America"

ABSTRACT   Countering the "mystique" of finance as abstract and disembedding, in this article I approach the financial market from the site of investment banking corporate culture to concretize large-scale processes and access its effects in the world. By investigating Wall Street investment banks' role in two pivotal socioeconomic phenomena—rampant downsizings throughout "corporate America" and the financial bubble and bust of 2001—I explore whether financial crises and corporate downsizing can be better understood via Wall Street's quotidian practices. I draw theoretical inspiration from the figure of the downsized investment banker, who embodies and connects Wall Street's rationales for downsizing as well as "the effects." Although shareholder value and externalized market justifications are Wall Street's models for understanding downsizing, I move beyond these dominant assumptions, demonstrating that bankers' own work experiences, market temporalities, and organizational culture serve as an incisive model to explain Wall Street's role in downsizing and financial crisis. [Keywords: Wall Street, corporate downsizing, financial markets, shareholder value, organizational culture]     

Moral Perception and Global Visions

Because moral perception plays an essential role in guiding morally responsible behaviour, agents have a responsibility to develop their capacities in this area. There are several strategies agents can (and should) pursue in order to improve their skills at moral perception. I appeal to insights derived from the work of feminist epistomologists and philosophers of science to argue that feminist approaches to multiculturalism are particularly valuable tools for improving moral perception.     

Medical physics in radiotherapy: The importance of preserving clinical responsibilities and expanding the profession's role in research,education, and quality control

Medical physicists have long had an integral role in radiotherapy. In recent decades, medical physicists have slowly but surely stepped back from direct clinical responsibilities in planning radiotherapy treatments while medical dosimetrists have assumed more responsibility. In this article, I argue against this gradual withdrawal from routine therapy planning. It is essential that physicists be involved, at least to some extent, in treatment planning and clinical dosimetry for each and every patient; otherwise, physicists can no longer be considered clinical specialists. More importantly, this withdrawal could negatively impact treatment quality and patient safety. Medical physicists must have a sound understanding of human anatomy and physiology in order to be competent partners to radiation oncologists. In addition, they must possess a thorough knowledge of the physics of radiation as it interacts with body tissues, and also understand the limitations of the algorithms used in radiotherapy. Medical physicists should also take the lead in evaluating emerging challenges in quality and safety of radiotherapy. In this sense, the input of physicists in clinical audits and risk assessment is crucial. The way forward is to proactively take the necessary steps to maintain and advance our important role in clinical medicine.     

The datafication of nature: data formations and new scales in natural history

In this essay, I consider the scales and connections lost and gained as natural history adopts digital data infrastructures. On the basis of ongoing work in the Museum für Naturkunde Berlin, I track the relations between insect specimens and their material and digital informational ecologies. Using Latour's notion of the ‘circulating reference’, I follow the insect specimens as they make their way into taxonomies, databases, and digitization apparatuses. In focusing on human-data mediations in museum practices of ordering, describing, and distributing specimens, I show how the datafication of nature makes present conventionally dissociated contexts, including German colonialism. Proposing the concept of a data formation, I suggest that ethnographers have much to contribute in bringing forward the sociocultural and historical specificities and contingencies within data.     

Assisted Reproduction and Distributive Justice

The Canadian province of Quebec recently amended its Health Insurance Act to cover the costs of In Vitro Fertilization (IVF). The province of Ontario recently de‐insured IVF. Both provinces cited cost‐effectiveness as their grounds, but the question as to whether a public health insurance system ought to cover IVF raises the deeper question of how we should understand reproduction at the social level, and whether its costs should be a matter of individual or collective responsibility. In this article I examine three strategies for justifying collective provisions in a liberal society and assess whether public reproductive assistance can be defended on any of these accounts. I begin by considering, and rejecting, rights‐based and needs‐based approaches. I go on to argue that instead we ought to address assisted reproduction from the perspective of the contractarian insurance‐based model for public health coverage, according to which we select items for inclusion based on their unpredictability in nature and cost. I argue that infertility qualifies as an unpredictable incident against which rational agents would choose to insure under ideal conditions and that assisted reproduction is thereby a matter of collective responsibility, but only in cases of medical necessity or inability to pay. The policy I endorse by appeal to this approach is a means‐tested system of coverage resembling neither Ontario nor Quebec's, and I conclude that it constitutes a promising alternative worthy of serious consideration by bioethicists, political philosophers, and policy‐makers alike.     

A ROLE FOR THE PHYSICIAN IN CIVIL DEFENSE

Recognition of the possibility of nuclear attack upon the U. S. imposes on the American physician the obligation of preparing to deal with its consequences. The responsibility has been accepted but every physician must continue his effort to increase our medical capabilities.Organization and planning at all levels must continue and it is most essential that physicians participate in the education of the public. The A.M.A. through its Committee on Disaster Medical Care has played an active role in the development of civilian training courses and medical planning for disaster in this country.     

Vine Deloria Jr. as a Philosopher of Education: An Essay of Remembrance

This essay engages the concepts of maturity, relationality, and responsibility in the writings of Vine Deloria Jr. as foundational to a Native philosophy of education. After situating Deloria and these Native philosophic concepts as a moment of difference in the colonial—modern world, I explore how these concepts of maturity, relationships, and responsibility have been discussed in his work and remain potent forces in the continuing evolution of education among Native peoples.     

德国柏林墙遗址地区公共空间的保护与规划研究

柏林墙是柏林近代史上重要的一段政治事件遗迹与历史见证。从1990年6月至今,柏林政府对柏林墙遗址地区进行了不同层面的保护和开发。梳理了柏林墙与柏林城市发展的关系,从政府工作、遗址构筑物与户外公共空间3个方面,研究了柏林墙遗址地区的保护与规划内容,认为针对柏林墙遗址地区,德国政府及人民对历史予以足够的尊重,以政府为主导的多维度、持续性的规划工作对遗址地区起到了重要的保护作用。灵活多样、高品质的公共空间营造方式与丰富的纪念性活动,使得衰败的地区得以激活和复兴,为中国遗址地区保护与规划设计提供借鉴。     

The moral complexity of sperm donation

Sperm donation is a widely accepted and increasingly common practice. In the standard case, a sperm donor sells sperm to an agency, waives his parental rights, and is absolved of parental responsibility. We tend to assume that this involves no problematic abandonment of parental responsibility. If we regard the donor as having parental responsibilities at all, we may think that his parental responsibilities are transferred to the sperm recipients. But, if a man creates a child accidentally, via contraception failure, we tend to assume that the man does indeed have parental responsibilities. Assessing these contrasting conclusions requires a theory of parental responsibility. I analyse prevalent theories of what makes someone parentally responsible and show that none of these theories can withstand scrutiny. I propose a new theory of parental responsibility, which, I argue, is more plausible than the alternatives. My theory of parental responsibility is based on our ownership and control over hazardous materials, namely, our gametes. I show that neither my theory, nor the theories I reject, can support our contrasting intuitions. I conclude that sperm donors are fathers, with parental responsibility. I argue that the alternative conclusion, that neither sperm donors nor accidental fathers are parentally responsible for their resulting offspring, is less plausible. I then consider whether parental responsibility can be transferred and argue that it is far from clear that it can. Finally, I address objections and consider some practical implications of these views.     

Survey of venereal disease treated by Manitoba physicians in 1972

A personally conducted survey of 829 Manitoba physicians has been carried out in order to obtain data of practical value to future medical planning for the management of venereal disease. Two thirds of the physicians interviewed see and treat venereal disease in office practice, although only a limited number of cases are fully investigated. The annual number of cases of confirmed and unconfirmed disease in the province is estimated to be approximately 16,000. Notification of disease to the public health authorities is extremely limited and therefore epidemiological measures necessary for proper control are rarely activated. Organized medicine should develop an awareness of the responsibility which must be assumed in this situation by its individual members, responsibility which can rarely be handled alone.     

Hermann Schaaffhausen (1816-1893) and the early history of the profession of anthropology]

The most important and best-known merit of Hermann Schaaffhausen is the correct explanation of the Neanderthal man as a fossil human being. Considering his work in the field of paleoanthropology one can designate him as the founder of this anthropological discipline in Germany. Beyond that he was also very active in the "Deutsche Anthropologische Gesellschaft" of the 19th century and played an important role as an editor of the journal "Archiv für Anthropologie". Thus, Hermann Schaaffhausen can be considered as one of the most important founders of Physical Anthropology in Germany. He belongs to those persons to whom German Anthropology owes its acknowledgement as an academic subject in German universities.     

Framing Responsibility

How can we register the participation of a range of elements, extending beyond the human subject, in the production of HIV events? In the context of proposals around biomedical prevention, there is a growing awareness of the need to find ways of responding to complexity, as everywhere new combinations of treatment, behavior, drugs, norms, meanings and devices are coming into encounter with one another, or are set to come into encounter with one another, with a range of unpredictable effects. In this paper I consider the operation of various framing devices that attribute responsibility and causation with regard to HIV events. I propose that we need to sharpen our analytic focus on what these devices do, their performativity??that is, their full range of worldly implications and effects. My primary examples are the criminal law and the randomized control trial. I argue that these institutions operate as framing devices: They attribute responsibility for HIV events and externalize other elements and effects in the process. Drawing on recent work in science and technology studies as well as queer theory, I set out an analytic frame that marks out a new role for HIV social research. Attentiveness to the performative effects of these devices is crucial, I suggest, if we want better to address the global HIV epidemic.     

When good organs go to bad people

A number of philosophers have argued that alcoholics should receive lower priority for liver transplantations because they are morally responsible for their medical conditions. In this paper, I argue that this conclusion is false. Moral responsibility should not be used as a criterion for the allocation of medical resources. The reason I advance goes further than the technical problem of assessing moral responsibility. The deeper problem is that using moral responsibility as an allocation criterion undermines the functioning of medicine.     

我国医院社会责任的影响因素分析

以国内外学者的研究为基础，从内部和外部两个方面来分析，指出医院性质、规模、财务、法律标准、外部约束等影响医院履行社会责任的因素，从而为如何提高医院履行社会责任的水平提供建议。     

Omissions, Causation, and Responsibility

In this paper I discuss a recent exchange of articles between Hugh McLachlan and John Coggon on the relationship between omissions, causation, and moral responsibility. My aim is to contribute to their debate by isolating a presupposition I believe they both share and by questioning that presupposition. The presupposition is that, at any given moment, there are countless things that I am omitting to do. This leads both McLachlan and Coggon to give a distorted account of the relationship between causation and moral or (as the case may be) legal responsibility and, in the case of Coggon, to claim that the law??s conception of causation is a fiction based on policy. Once it is seen that this presupposition is faulty, we can attain a more accurate view of the logical relationship between causation and moral responsibility in the case of omissions. This is important because it will enable us, in turn, to understand why the law continues to regard omissions as different, both logically and morally, from acts, and why the law seeks to track that logical and moral difference in the legal distinction it draws between withholding life-sustaining measures and euthanasia.     

Environmental migrants,structural injustice,and moral responsibility

Climate change and environmental problems will force or induce millions of people to migrate. In this article, I describe environmental migration and articulate some of the ethical issues. To begin, I give an account of these migrants that overcomes misleading dichotomies. Then, I focus attention on two important ethical issues: justice and responsibility. Although we are all at risk of becoming environmental migrants, we are not equally at risk. Our risk depends on our temporal position, geographical location, social position, and the kind of society in which we live. We all contribute to environmental problems, but we do not contribute equally. About 11% of the world population is responsible for 50% of carbon emissions. These inequalities raise issues of justice because many of the people who are at high risk have contributed little to the problems. Since the issues of justice are relatively clear and compelling, I focus more attention on issues of responsibility. I use Iris Marion Young’s account of responsibility for structural injustice to address four key questions about moral responsibility and environmental migration.